__:::: MONDIAL PIETRE ::::__

FORM FOR THE REQUEST OF AN ON-LINE ESTIMATE

Fill in the form and we will reply to you as soon as possible.

Surname
Name
Road Street
City		Country
Telephon	Fax
E-mail
I wish to receive an estimate regarding:
Indicate approximately the number of square metres to be paved or covered			mq.
Type of material
Comments and requests

According to the Italian law 675/1996, we inform you that your personal data will be used, either by manual or computerised treatment, in observance of the above cited law, for purposes regarding your information request, and for sending you technical , advertising or marketing materials dealing with the products and services offered by MONDIAL PIETRE. Sending this message implies the acceptance of agreement to the treatment of your personal data for the purposes above mentioned. We inform you that, according to the Italian Law 675/1996, Art. 13, you have the right to modify, integrate or demand the cancellation of your data at any time by contacting MONDIAL PIETRE.